NRS 439B.751 – Payment to out-of-network provider, other than emergency facility, by third party.
1. If an out-of-network provider, other than an out-of-network emergency facility, had a provider contract as an in-network provider within the 12 months immediately preceding the date on which the medically necessary emergency services were rendered to a covered person and: (a) The out-of-network provider terminated the most recent applicable provider contract between the third […]
NRS 439B.754 – Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration.
1. An out-of-network provider shall accept or reject an amount paid pursuant to subsection 2 of NRS 439B.748 or paragraph (c) of subsection 1 or subsection 2 of NRS 439B.751 as payment in full for the medically necessary emergency services for which the payment was offered within 30 days after receiving the payment. If an […]
NRS 439B.757 – Election by certain entities and organizations not otherwise covered to submit to provisions; regulations.
Any entity or organization, not otherwise subject to the provisions of NRS 439B.700 to 439B.760, inclusive, that provides coverage for emergency medical services, including, without limitation, a participating public agency, as defined in NRS 287.04052, and any other local governmental agency which provides a system of health insurance for the benefit of its officers and […]
NRS 439B.760 – Reports; confidentiality of information.
1. On or before December 31 of each year, an arbitrator who arbitrated a matter pursuant to NRS 439B.754 during the immediately preceding 12 months shall report to the Department of Health and Human Services in the form prescribed by the Department: (a) The number of cases arbitrated by the arbitrator; (b) The types of […]
NRS 439B.800 – Definitions. [Effective January 1, 2022.]
As used in NRS 439B.800 to 439B.875, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.805 to 439B.830, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2021, 3050, effective January 1, 2022)
NRS 439B.724 – “Provider contract” defined.
“Provider contract” means a contract between a third party and an in-network provider to provide health care services to a covered person. (Added to NRS by 2019, 320)
NRS 439B.727 – “Provider of health care” defined.
“Provider of health care” has the meaning ascribed to it in NRS 695G.070. (Added to NRS by 2019, 320)
NRS 439B.730 – “Prudent person” defined.
“Prudent person” means a person who: 1. Is not a provider of health care; 2. Possesses an average knowledge of health and medicine; and 3. Is acting reasonably under the circumstances. (Added to NRS by 2019, 321)
NRS 439B.733 – “Screen” defined.
“Screen” means to conduct the medical screening examination required to be provided to a patient in the emergency department of a hospital pursuant to 42 U.S.C. § 1395dd. (Added to NRS by 2019, 321)
NRS 439B.706 – “Independent center for emergency medical care” defined.
“Independent center for emergency medical care” has the meaning ascribed to it in NRS 449.013. (Added to NRS by 2019, 320)